| LCA CASE NUMBER | I-200-21147-349139 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-27 |
| DECISION DATE | 2021-06-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physician (Otolaryngologists) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-16 |
| END DATE | 2024-07-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Overton Brooks VA |
| EMPLOYER ADDRESS1 | 510 E Stoner Avenue |
| EMPLOYER CITY | Shreveport |
| EMPLOYER STATE | LA |
| EMPLOYER POSTAL CODE | 71101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13189905281 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Black |
| EMPLOYER POC FIRST NAME | Rose |
| EMPLOYER POC JOB TITLE | Administrative Officer, Surgical Service |
| EMPLOYER POC ADDRESS 1 | 510 E Stoner Avenue |
| EMPLOYER POC CITY | Shreveport |
| EMPLOYER POC STATE | LA |
| EMPLOYER POC POSTAL CODE | 71101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13189905281 |
| EMPLOYER POC EMAIL | Rose.black@va.gov |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jeffries |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127644222 |
| AGENT ATTORNEY EMAIL ADDRESS | Ehause.jc@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Jeffries & Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 510 E Stoner Avenue |
| LCA CASE WORKLOC1 CITY | Shreveport |
| WORKSITE COUNTY | CADDO |
| LCA CASE WORKLOC1 STATE | LA |
| WORKSITE POSTAL CODE | 71101 |
| LCA CASE WAGE RATE FROM | 310000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 244213 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER BUSINESS NAME | Jeffries & Corigliano, LLP |
| PREPARER EMAIL | Ehause.jc@gmail.com |
